It is possible for the ring to come out during sex, or if it was not inserted fully.
If the ring has been out for less than 3 hours, rinse it with warm water and reinsert it as soon as possible. You are still protected against pregnancy and you do not need to take additional precautions.
If the ring has been out for more than 3 hours in the first or second week, rinse it with warm water and reinsert it as soon as possible. Use condoms for the next 7 days. If you had unprotected sex at any time during the previous 7 days before the ring fell out, consider using a morning after pill.
If the ring has been out for more than 3 hours in the third week, throw it away. Then either insert a new ring straight away or have your 7 day ring-free break and then insert a new ring. Use condoms for the next 7 days. If you had unprotected sex at any time during the previous 7 days before the ring fell out, consider using a morning after pill.
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